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EP2879612A1 - Méthode de marquage et d'identification d'implants, et implants marqués, permettant l'enregistrement de données et l'identification d'implants à l'aide d'un dispositif non-invasif - Google Patents

Méthode de marquage et d'identification d'implants, et implants marqués, permettant l'enregistrement de données et l'identification d'implants à l'aide d'un dispositif non-invasif

Info

Publication number
EP2879612A1
EP2879612A1 EP13827382.6A EP13827382A EP2879612A1 EP 2879612 A1 EP2879612 A1 EP 2879612A1 EP 13827382 A EP13827382 A EP 13827382A EP 2879612 A1 EP2879612 A1 EP 2879612A1
Authority
EP
European Patent Office
Prior art keywords
implant
implants
marking
encoding
marked
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP13827382.6A
Other languages
German (de)
English (en)
Other versions
EP2879612A4 (fr
Inventor
Mishel VESHLER
David DORON
Asher ZELIG
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP2879612A1 publication Critical patent/EP2879612A1/fr
Publication of EP2879612A4 publication Critical patent/EP2879612A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12—Arrangements for detecting or locating foreign bodies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/12—Mammary prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097—Visible markings, e.g. indicia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Definitions

  • the present invention is in the field of cataloging and marking implants and, more specifically, the present invention innovates marked implants; the system enables the creation of marked implants to be implanted into the body of the patient, or the body of a live patient. It enables the observation andoidentification of the existing marking on implants subsequent to their having been implanted into the body of the patient, by using a device that enables the observation of the implant, and the marking on the implant noninvasive ⁇ , from outside the body into which the implant was planted - for example, while the implant is still in the living body - and receiving infasnation regarding the specifically identified marked implant.
  • a large proportion of the implants intended for implanting into the patient's body can be divided into different types.
  • the most common implants are:
  • a dental implant is a type of device made, usually, from titanium, as part of the TiAI6V4 compound.
  • the metal from which the impkant is made is a precious metal; in other words, metal that does not create a chemical reaction with the body and, therefore, the living body does not utilize its rejection mechanisms.
  • the implant is actually a "dibble" with a double screw element. The first is external and is used to anchor the implant into the jawbone; the second is internal and serves to anchor the external accessories onto the implant. These accessories are called restoration parts.
  • Silicone im p lants these implants are constructed from a type of silicone pocket, such as an implant usually used in plastic surgery. These are designed for implantation onto the chest area and are used for breast enlargement in women or, for example, for reconstructive surgery following a mastectomy. There are different types of silicone implants: one type is an external silicone pocket that contains a silicone filler filled with a saline solution. These implants are the only ones currently being used in the United States.
  • silicone implant is an implant with a silicone gel filler that has an external silicone shell and is filled with silicone gel.
  • this type of implant is not used for implants in the United States, despite the fact that the changes that have been made to the legal regulations permit this. Nonetheless, this kind of implant applies to 90% of implant surgery performed in 60 countries outside the United States where this surgery is permitted.
  • fiber implant which is the third type of implant of this kind, and which is rarely used.
  • joint replacement is one of the most common and most successful types of surgery in modern orthopedics. Subsequent to the patient suffering from pain and dysfunction caused by deterioration of the joint - resulting from arthritis, erosion of bone and cartilage, or disease - the patient's joint is replaced, during a surgical procedure, with an artificial joint that enables the continued functioning of the joint.
  • Total joint replacement surgery means replacing all parts of the joint; as opposed to partial joint replacement surgery (hemiarthroplasty), which replaces only the articular surface of bones or parts of the interior surface of the joint.
  • implants such as implants that can simulate and replace certain organs in the user body or part of an organ in the user body; or which can facilitate the functioning of a specific body part - such as artificial heart, pacemakers, "stent" in the form of a spring designed to widen theiarteries, platinum plates to strengthen or connect organs, and more.
  • implants into the body of a patient are quite common around the world - until now there has been no method that enables the simple identification of an implant in the body where the implant was implanted, for anyone who may be interested in observing the implant from outside the body in which it was implanted, non-invasively and without having to remove the implant.
  • the implant It is necessary, after the implant has been performed, for someone, such as a therapist, to observe the implant in order to identify the implant and to identify the data associated with the specific implant. For example, information about what can and will be associated with the implant, the type of implant, when it was implanted, the company that supplied the implant, information about the implant, any information about the individual who received the implant, and so on and so forth.
  • the patient will be able to ensure that the implant that was paid for is actually the implant that has been implanted in his body. For the purpose of identifying the individual (during their lifetime, by the police, and even after their decease). Also from the aspect of medical care, dental treatment, rehabilitation, continued care and so on and so forth.
  • the present invention enables a system by which to install a code on the implant that can be read and interpreted with the help of a device such as X-ray, MRI, US and / or with the assistance of a code-reading device (optical, digital, electric, laser, soiisd waves and ultrasonic waves, magnetic induction). All of these will obviate the need to remove the implant in situations of necessity, or to acquire information relating to the implant.
  • This system makes it unnecessary to record information in advance - including information about the implant - since that can be done by using marked implants, and this is made possible by using the method enabled by the present invention.
  • the present invention innovates the marking of implants and the identification of implants, and marked implants, facilitated by means of an external and non-invasive device which is located outside the body. It enables the identification of the implants in such a manner that it is possible to obtain the required information relating to the implant contained within the body of a patient.
  • the components of the system and marked implants are as follows:
  • Implants for implantation are supplied with markings that do not cause rejeetion by the body. As long as the marking does not come into direct contact with the body and if - due to material composition - they will not result in a reaction of rejection by the body, and when;
  • Marking implants will be performed using alternative implementation and technology that will allow observation from an external device, to identify and monitor the distinctive marking of the implant, and when;
  • the computerized systems will provide information relating to a specific implant to the applicant.
  • marking and encoding When marking and encoding will be embedded on a certain part of the implant or, alternatively, will be removed from a certain part of the implant, or alternatively, will be attached to the implant and, optionally, a layer of material will be added to it to prevent rejection by the live body.
  • the present invention enables a system for installing a code on the implant that can be read and interpreted with the help of a device located outside the body such as X-ray, Mf3 ⁇ 45 US and / or with the assistance of a code-reading device (optical, digital, electric, laser, sound waves and ultrasonic waves, magnetic induction). All of these will be used in order to obviate the need to remove the implant in situations of necessity or to get information relating to the implant, when the marked implants, and the method of the present invention make the purpose of the invention possible.
  • a code-reading device optical, digital, electric, laser, sound waves and ultrasonic waves, magnetic induction
  • Figure 1 is a schematic diagram depicting one of the applications included in the scope of the present invention, which presents, for example, the preparation of dental implant 100 for marking and encoding in accordance witfosthe method of the present invention.
  • Figure 2 is a schematic diagram depicting one of the applications included in the scope of the present invention, which shows one of the alternatives of the marking and encoding components intended for placement in dental implants; for example, in such a manner as would allow identification of the implant from a device located outside the body, in accordance with the method of the present invention.
  • Figure 3 is a schematic diagram showing the combination of Figure 1 with Figure 2, which is one of the applications included in the scope of the present invention. This presents one of the alternatives of the marking and encoding components intended for placement in dental implants, for example, made possible for identification from a device located outside the body, in accordance with the method of the present invention.
  • Figure 4 is a schematic diagram that presents a photo image external to the body, showing the distinctive marking and encoding of an observed dental implant, in accordance with the method of the present invention.
  • Fig&re 5 is a schematic diagram showing an example of a silicone implant, which is implanted in the chest of a woman, in accordance with the early techniques.
  • Figure 6 is a schematic diagram showing an example of a silicone implant implanted into the chest of a woman. It includes marking and encoding made possible by means of a device that is external to the implanted body, in accordance with the present invention.
  • Figure 1 is a schematic diagram depicting one of the applications included in the scope of the present invention, and it shows the preparation of dental implants 100 for marking and encoding - for example, in accordance with the method of the present invention.
  • the internal drilling 104 of the dental implant 102 will be deepened, in such a manner as to allow, for example, for the insertion of one of the marking and encoding applications that are made possible by the present invention in the site that has been prepared 106
  • the encoding in one of the applications is an example of the underneath of a uniquely grooved cylinder. This enables identification and is adjusted by its identification to provide information found, for example, in the cofitputer system external to the body in which the dental implant 102 has been implanted.
  • Figure 2 is a schematic diagram depicting one of the applications included in the scope of the present invention. It shows one of the alternatives of the masking and encoding component 150, built into one of its applications, for example, as an underneath grooved cylinder at various intervals and thicknesses between every part, and interval 152, 154, 156, 158 and 160 uniquely in the cylinder.
  • the X-ray for example, outside of the body will present the encoding, it will transfer the image to dedicated computer software that will recognize the information in connection with the specific implant. The computer system will then display the relevant information, or the information requested by the user, in accordance with the encoded implants and the method of the present invention.
  • Drawing 3 is a schematic diagram depicting a combination 180 of Figure 1 with Figure 2, combination of the implant 186 that includes deepening of the inner drilling of the dental implant 184 for example, and the means of encoding and marking 182 designated for placement in implant.
  • This is one of the applications included in the scope of the present invention, which presents one of the alternatives for marking and encoding of dental implants, for example, made possible by identification of the implant from outside the body, in accordance with the method of the present invention.
  • Drawing 4 is a schematic diagram presenting a photographic image 200 thaftwas taken by means located outside the body in which dental implants 204 and 208 had been implanted.
  • the photograph presents the unique marking and encoding 206 of observed dental implant 208 near to teeth 202, when, reading and identification of code 206 is in accordance with the following stages:
  • An image is executed - for example an X-ray in one of the applications of the device that are enabled by the method of the present invention.
  • the image is transferred to the designated recognition program in the computer.
  • a reading and identification of the code 206 is performed with the software.
  • the computer brings up the data relating to the implant 208, in accordance with the method of the present invention.
  • Figure 5 is a schematic diagram showing example 230 of 236 silicone implant surgically implanted 234 in the chest woman 232 in accordance with the early techniques.
  • Figure 6 is a schematic diagram showing example 250 of silicone implants 252 in accordance with the early techniques, and 256 in accordance with the present invention, implanted in the chest woman where the silicone implant 256 that includes marking and coding 254 enabling identification using devices outside the implanted body, in accordance with the present invemtion.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Human Computer Interaction (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Prostheses (AREA)
  • Dental Prosthetics (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

La présente invention concerne le marquage d'implants, et une méthode permettant le marquage et la catégorisation d'implants à implanter dans le corps d'un patient. L'invention concerne également l'implantation d'un implant à l'intérieur du corps du patient, permettant l'observation et l'identification du marquage unique qui a été apposé sur chaque implant - sans avoir besoin de retirer l'implant du corps dans lequel il a été implanté ; et la réception d'informations relatives à cet implant particulier.
EP13827382.6A 2012-08-05 2013-08-04 Méthode de marquage et d'identification d'implants, et implants marqués, permettant l'enregistrement de données et l'identification d'implants à l'aide d'un dispositif non-invasif Withdrawn EP2879612A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IL22129412 2012-08-05
PCT/IL2013/000063 WO2014024179A1 (fr) 2012-08-05 2013-08-04 Méthode de marquage et d'identification d'implants, et implants marqués, permettant l'enregistrement de données et l'identification d'implants à l'aide d'un dispositif non-invasif

Publications (2)

Publication Number Publication Date
EP2879612A1 true EP2879612A1 (fr) 2015-06-10
EP2879612A4 EP2879612A4 (fr) 2016-04-06

Family

ID=50067486

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13827382.6A Withdrawn EP2879612A4 (fr) 2012-08-05 2013-08-04 Méthode de marquage et d'identification d'implants, et implants marqués, permettant l'enregistrement de données et l'identification d'implants à l'aide d'un dispositif non-invasif

Country Status (5)

Country Link
EP (1) EP2879612A4 (fr)
KR (1) KR20150041059A (fr)
CN (1) CN104540468A (fr)
RU (1) RU2015102050A (fr)
WO (1) WO2014024179A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180085186A1 (en) * 2014-02-11 2018-03-29 Brian Kieser Structurally Encoded Rods and Screws
US20150223921A1 (en) * 2014-02-11 2015-08-13 Brian Kieser Structurally encoded implantable devices
KR102122796B1 (ko) * 2017-12-29 2020-06-15 서울대학교치과병원 에이징 인덱스 부를 구비한 치과 임플란트 장치 및 치과 임플란트 장치의 나이 추정 방법

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4557693A (en) * 1983-11-18 1985-12-10 Exact-1-Dent, Incorporated Human identification system
US5044955A (en) * 1989-05-09 1991-09-03 Jagmin Gary E Radiographically readable information carrier and method of using same
US5716407A (en) * 1992-08-24 1998-02-10 Lipomatrix, Incorporated Method of rendering identifiable a living tissue implant using an electrical transponder marker
ITBO20070555A1 (it) * 2007-08-02 2009-02-03 Daniele Pidala Impianto dentale endo osseo.
EA201000799A1 (ru) * 2007-11-13 2010-12-30 Виктор Хегедюс Система и способ маркировки объектов, маркировочный элемент и их применение для контроля и управления объектами
US20090155744A1 (en) * 2007-12-13 2009-06-18 Global Implant Solutions, Llc Dental Implant Identification System
BRPI0920703A2 (pt) * 2008-10-17 2016-01-12 Allergan Inc revestimento de implante protético
US8066775B2 (en) * 2009-06-12 2011-11-29 Branovacki George Joint implant
DE102009043281A1 (de) * 2009-09-29 2011-04-07 Ditzel GmbH & Co. KG, Grundstücks- und Beteiligungsgesellschaft Gebisselement-Kodierung
TW201120757A (en) * 2009-12-08 2011-06-16 Yu-Jung Li Identification device
US8945090B2 (en) * 2009-12-29 2015-02-03 Cardiac Pacemakers, Inc. Implantable radiopaque marking
FR2970169B1 (fr) * 2011-01-06 2014-10-17 Perouse Medical Procede de determination d'une caracteristique d'un implant

Also Published As

Publication number Publication date
RU2015102050A (ru) 2016-09-20
CN104540468A (zh) 2015-04-22
WO2014024179A1 (fr) 2014-02-13
KR20150041059A (ko) 2015-04-15
EP2879612A4 (fr) 2016-04-06

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